Our renowned surgical technique: NO Cutting, NO Drilling, NO Scarring
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+1 800 956 6724 Beverly Hills, New York City, Los Angeles
If you're visually impaired, you can access the accessible site by pressing the Shift and Enter keys anytime.

Back Institute

THE LEADER IN ENDOSCOPIC SPINE SURGERY
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    • Initial Inquiry Form – Lumbar (Low or mid back)
    • Initial Inquiry Form – Cervical
    • Pre-op Incoming Patient Form
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Pre-op Incoming Patient Form

This area is only for patients who have set a surgical procedure date with us.

1. Pre-operative Form [PDF Form] – Pre-operative Instructions for the Back Institute


2. patient information questionnaire[pdf form] – patient information questionnaire
For expedited service, please provide additional information by completing either the detailed Lumbar form or the detailed Cervical form
Detailed Long Form : Lumbar (Low or Mid Back)
Detailed Long Form : Cervical

Quick Form

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Detailed Long Form

  • Major Breakthrough By Leading neurosurgeon, Board Certified; Yale Fellowship
  • Non Cutting Surgical Technique
  • Prevent Irreversible damage from Old Style Cutting Spine Surgery
  • Home Same Day, No Stitches
  • Many thousands successfully treated since 1986.
  • Highly effective & Safest method
Contact Info

Beverly Hills, New York City, Los Angeles

+1 800 956 6724

inbox@backinstitute.com

http://www.backinstituteneurosurgery.com/

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